Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.60 / $482.79 / $929.83	Facility		$182.60	$482.79	$929.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $132.68 / $293.89	Professional		$67.92	$132.68	$293.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $39.95 / $270.00	Professional	26	$31.07	$39.95	$270.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.88 / $33.96 / $58.15	Professional	52	$24.88	$33.96	$58.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.45 / $91.84 / $596.29	Professional	TC	$34.45	$91.84	$596.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $181.60 / $182.35	Professional		$162.72	$181.60	$182.35
BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $195.28 / $217.92 / $218.82	Professional	22	$195.28	$217.92	$218.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $91.22 / $91.60	Professional	26	$81.75	$91.22	$91.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.98 / $90.38 / $90.75	Professional	TC	$80.98	$90.38	$90.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $94.57 / $118.21	Professional		$94.57	$94.57	$118.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $47.07 / $58.83	Professional	26	$47.07	$47.07	$58.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.50 / $47.50 / $59.38	Professional	TC	$47.50	$47.50	$59.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $54.71 / $92.06	Facility		$44.07	$54.71	$92.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $188.83 / $547.54	Professional		$85.75	$188.83	$547.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.51 / $89.74 / $99.03	Professional	26	$72.51	$89.74	$99.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.54 / $70.67 / $349.50	Professional	TC	$38.54	$70.67	$349.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $72.89 / $156.63	Professional		$42.88	$72.89	$156.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.13 / $81.83 / $85.96	Professional	26	$40.13	$81.83	$85.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $65.19 / $101.35	Professional	TC	$19.27	$65.19	$101.35